ArticleJournal of Indian Association of Pediatric Surgeons
Median Raphe Deviation: Unveiling the Masquerading Distal Hypospadias.
Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: This study assessed the association between median raphe deviation types and the clinical severity of distal hypospadias, proposing deviation as a surgical landmark correlated with urethral hypoplasia and corpus spongiosum divergence. Materials and Methods: A retrospective analysis was conducted on 70 patients with distal hypospadias treated between 2023 and 2024 at two tertiary care centers. Preoperative evaluation documented the meatal position, raphe type, and level of deviation. The intraoperative findings included the length of urethral hypoplasia and the degree of corpus spongiosum divergence. All patients underwent tubularized incised plate urethroplasty using the hypospadias penile skin landmark technique. Results: Median raphe deviation was present in 82.8% of cases ( Conclusions: Median raphe deviation is a reliable anatomical marker of distal hypospadias severity. Its correlation with urethral hypoplasia and spongiosum divergence underscores its value in surgical planning, complexity prediction, and outcome optimization.
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